Individual
DR. RICHARD E WOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 MCCRARY RD, FORTSON, GA 31808-4558
(706) 987-8216
(706) 987-8220
Mailing address
1315 DELAUNEY AVE, SUITE 201, COLUMBUS, GA 31901-2367
(706) 987-8216
(706) 987-8220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19809
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000176293H
—
GA
05
—
000176393C
—
GA
05
—
000176393E
—
GA
05
—
000176393F
—
GA
05
—
000176393G
—
GA
Enumeration date
07/26/2006
Last updated
08/28/2009
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